HomeMy WebLinkAbout0131905-HVAC/`~ CITY OF OSHKOSH No 131905
OSHKOS H HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER ',
Job Address 2016 ASHLAND ST Owner CARLA J SAWALL Create Date 07/16/2008
Contractor BREWER HEATING Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil I Electric Solar Solid
System ^ New j ^/ Replace j ^ Other ______ J
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water ', Suppl. Con. Burner
Chimney Type Chimney A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable ~ Value
BTU Rate As Per Plan Variable ' Other ~ Value
UselNature FR /City rehab /Remove and replace furnace and install UL approved chimney liner. ""debt acct
of Work
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Fees: Valuation $4,225.00 Plan Approval $0.00 Permit Fee Paid $74.50
Issued By: ' Date 07/29/2008
^ Permit Voided ~ Parcel Id # 1516820000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
White the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature ' Date
- --
Agent/Owner
Address N8804 DOUGLAS ST RIPON ' WI 54971 -9702 Telephone Number 920-748-6494 866-8(
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
/23/2008 WSD 10:18 FAX 920 748 6520 Brewer Heating ~~~ CITY OF OSHKOSH (~f001/001
Ciry of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, Wi 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 1 28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. 'i
OR
ou a-•e a contractor narticinatinQ in the Permit fe~Accoxrnt Svstem and have adequate firnds. check here
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE ~~~3' ~~'
JOB ADDRE/~SS_ oZOI (, -`I S W L~"~~
OWNER (~ pQ-,iLL-q S r4~~Vt /~~a~ ~{.~~ ~2 /~/YrX~
CONTRACTOR ~(~/'ec.cse~/ ~-~~JG. ~-L
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CHECK Q ALL APPLICABLE
USE CATEGORY ~
'Single Family ^Duplex OiVlulti-Family) ^Rental ^Comrrtercial ^Industrial
FUEL ~ias ^Electric ^Solid '; SYSTEM ^New replace
^Oil DSolar ~ ^Other
T E
Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric DHot Water ^Suppl, ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent OOther
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
__ ~ /v~t..4. I tiv lG GG
VALUE (Including labor and materials) $ ~~~~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~t~4p ~-4-r=~ ~-ry~'Ci~S
~Q. IN `-~'~ ~ qtr .P~t!e !~'(w1t~i G n t.V : rt
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